Interventional Approaches to Low Back Pain
Autor: | Ariana M. Nelson, Geeta Nagpal |
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Rok vydání: | 2018 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Spinal stenosis medicine.medical_treatment Psychological intervention 03 medical and health sciences Indirect costs Spinal Stenosis 0302 clinical medicine Physical medicine and rehabilitation 030202 anesthesiology Intervention (counseling) Health care medicine Humans Orthopedics and Sports Medicine Injections Spinal business.industry Epidural steroid injection Sacroiliitis medicine.disease Low back pain Analgesia Epidural Chronic Disease Physical therapy Spinal Diseases Steroids Surgery Neurology (clinical) medicine.symptom business Low Back Pain Intervertebral Disc Displacement 030217 neurology & neurosurgery |
Zdroj: | Clinical Spine Surgery: A Spine Publication. 31:188-196 |
ISSN: | 2380-0186 |
Popis: | Chronic low back pain (LBP) places a tremendous economic burden on society due to both direct and indirect costs. Health care costs for adults with chronic LBP have steadily increased over the past 20 years, coinciding with a large increase in the utilization of spinal injections, surgical interventions, opioid medications, and physical therapy. The treatment of LBP is best approached by a multimodal and even multidisciplinary approach with a combination of physical rehabilitation, pharmacologic management, psychological intervention, spinal injections, and surgical intervention with a goal of improving the functional status of the patient. In this review, we discuss the interventional management of LBP secondary to herniated nucleus pulposus, spinal stenosis, facet mediated pain, sacroiliitis, and discogenic pain. |
Databáze: | OpenAIRE |
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